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Maine.gov > PFR Home > Insurance Regulation > Consumer Complaint Form

STATE OF MAINE
PROPERTY & CASUALTY DIVISION CONSUMER COMPLAINT FORM


Please note: Although it is most unlikely that you will experience any problems using this form, certain non-standard browsers will not respond properly. If you experience any difficulties or if you are not using a forms-capable browser you may send an e-mail to: David.G.Stetson@maine.gov or Bradford.L.Brown@maine.gov.


Important information about filing a complaint


This form is for filing a property and casualty insurance complaint with the Maine Bureau of Insurance.  If you have a complaint related to health, life, disability, or viatical insurance, please click here.  The form authorizes the Bureau to investigate the matter on your behalf and provides us the basic information we need to investigate your complaint. The form may be submitted either electronically or by mail. Once received by the Bureau your file will be confidential as provided by Maine law.
PHOTOCOPIES of any correspondence, insurance policies, or other documentation related to your insurance problem (property loss forms, vehicle appraisals, police reports, all correspondence concerning your complaint and a copy of your policy, etc.) may be necessary in order for the Division to act upon your complaint.
Your complaint will be assigned to a Claims Investigator who will contact you by mail for more information at the beginning of the investigation and will advise you of our conclusions once the investigation has been completed. This usually takes a minimum of thirty days.

We will make every effort to assist you and to see that insurance companies comply with Maine insurance laws; however, we cannot:
• Force the company to satisfy you if no laws have been broken.
• Act as your lawyer or give you legal advice.
• Make liability decisions.


(PLEASE CHECK ALL THAT APPLY)









Your Information









Insured property address if different than mailing address (e.g., business location, rental property, summer home)

Insurance Information












Consumer Authorization

I hereby authorize that any person or company regulated by the Maine Bureau of Insurance may provide the Bureau with any information or records needed by the Bureau to investigate my complaint. This authorization remains in effect until I revoke it in writing.





Name of State of Maine Bureau of Insurance representative(s) with whom you have spoken (if applicable):  

Details of Complaint – In order to help us resolve your issue, please provide a brief description of your complaint in the box below. Please provide as many factual details as possible, including dates and dollar amounts, and address the following:
what happened, who is involved, what the issues are, and what you have done to resolve the issues.

 

Last Updated: June 13, 2013